1. Pediatric septoplasty
Babak Saedi
Associate Professor of Tehran University of Medical sciences
www:dr.babaksaedi.com

3. Chronic Mouth Breathing
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6. Limitation of articles
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7. HISTORICAL OVERVIEW: ANIMAL STUDIES
Preserving septal mucoperichondrial flaps in young pups did
not result in any perceptible growth whether cartilaginous septum was removed or autotransplanted.
Interestingly,in septums from which cartilage was removed, there was evidence of cartilage regrowth at 10 months

8. HISTORICAL OVERVIEW: HUMAN STUDIES
El-Hakim and colleagues followed the anthropometric measurements of children who underwent septoplasty via an external approach with autotransplantation of the quadrilateral cartilage and compared their craniofacial development to that of age-matched control subjects.
There were no deleterious effects on the development of the nose or midface

9. Other literates
The more recent literature mentioned above shows that septoplasty can be performed safely in a selected population
using mucoperichondrium- and cartilage-preserving techniques

10. Septoplasty indication
Absolute indications for performing a septoplasty in a pediatric patient include septal abscess, septal hematoma, severe deformity secondary to acute nasal fracture, dermoid cyst, and cleft lip nose

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13. Septal dislocation in neonate
it is accepted that closed reduction is not efficacious in providing long-term relief of adult septal deviation, it can provide lasting results for the pediatric patient when correctly performed.

14. Septal dislocation in neonate
There is no need for splints or nasal packing. If the procedure is unsuccessful, proceed to a surgical septoplasty

15. Imaginary Line Crysdale's group proposed two approaches.
When the deviation is located caudally and posterior to an imaginary line from the anterior nasal spine to the anterior aspect of the nasal bones, a hemitransfixion incision and limited excision of cartilage, maxillary crest, and vomer is indicated.
If the deviation is anterior to this line, they suggested an open approach removing the whole quadrilateral cartilage and replacing it using its posterior edge, creating a “new” septal midline

16. Open Techniques Cartilage weakening without resection
Cartilage resection
it is important to consider reimplantation of
the cartilage after appropriate manipulations have been performed to straighten the
cartilage or trim excess length that causes bow in

17. Nasal growth after pediatric septoplasty at long-term follow-up
Pediatric septoplasty may be indicated in selected cases of obstructing nasal septum deformities. The operation, performed via endonasal approach, does not interfere with the normal growing nasal process
American Journal of Rhinology & Allergy

18. continuing article
the obstructive deviation of anterior nasal septum involving the valvular area required total removal of the quadrangular cartilage,
remodeling it outside the body and replacing it.

19. Open rhinoplasty in children.
Absolute indications for open rhinoplasty in children include dermoid cyst, cleft lip nose, and septal abscess. Relative indications include septal deviations causing severe nasal airway obstruction and or progressive distortion of the nose Facial Plast Surg Nov;23(4):

20. A Study of Anthropometric Measures Before and After External Septoplasty in Children
Appropriate nasal septal surgery involving
excision and subsequent reinsertion of a remodeled segment of the quadrilateral cartilage has no deleterious effects on development of the nose and midface
Arch Otolaryngol Head Neck Surg. 2001;127: